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新冠病毒病抗病毒治疗的疗效

Efficiency of antiviral treatment in COVID-19.

作者信息

Negrut Nicoleta, Codrean Adriana, Hodisan Ioana, Bungau Simona, Tit Delia Mirela, Marin Ruxandra, Behl Tapan, Banica Florin, Diaconu Camelia C, Nistor-Cseppento Delia Carmen

机构信息

Department of Psycho-Neuroscience and Recovery, Faculty of Medicine and Pharmacy, University of Oradea, 410073 Oradea, Romania.

Department of infectious Diseases, 'Gavril Curteanu' Municipal Hospital Oradea, 410469 Oradea, Romania.

出版信息

Exp Ther Med. 2021 Jun;21(6):648. doi: 10.3892/etm.2021.10080. Epub 2021 Apr 19.

Abstract

The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic is responsible for generating a global effort to discover urgent therapeutic solutions to limit the human damage caused by COVID-19. In the period of April to June 2020, 105 patients diagnosed with COVID-19 met the conditions for inclusion in the present study. They were treated with antiviral therapy according to local guidelines: D group (53 cases), treated with darunavir/ritonavir (DRV/r); and K group (52 cases), treated with lopinavir/ritonavir (LPV/r). Patients from the K group required 7.5 days of hospitalization less compared to those from the D group (P<0.001). The blood oxygen saturation values recorded in the groups were statistically different [K group (94.02±3.12%) vs. D group (92.13±4.24%), P=0.010]. The percentage of patients with unsatisfactory clinical evolution were non-significantly higher in the D group compared with the K group [20 (37.74%) vs. 12 (23.08%), P=0.157]. We did not note statistically significant differences between the two groups tracked considering the values for the Brescia-COVID Respiratory Severity Scale (BCRSS) of the patients with unsatisfactory clinical evolution, nor of the chest CT' evolution after 10 days of therapy. We did not register significant adverse effects after antiviral therapy in the two groups. Antiviral therapy with LPV/r had some favorable results compared to DRV/r in patients with COVID-19. Both therapies were well tolerated.

摘要

严重急性呼吸综合征冠状病毒2(SARS-CoV-2)大流行促使全球共同努力,以寻找紧急治疗方案,减少新型冠状病毒肺炎(COVID-19)造成的人员伤亡。2020年4月至6月期间,105例确诊为COVID-19的患者符合纳入本研究的条件。他们根据当地指南接受抗病毒治疗:D组(53例),接受达芦那韦/利托那韦(DRV/r)治疗;K组(52例),接受洛匹那韦/利托那韦(LPV/r)治疗。与D组患者相比,K组患者的住院时间少7.5天(P<0.001)。两组记录的血氧饱和度值有统计学差异[K组(94.02±3.12%) vs. D组(92.13±4.24%),P=0.010]。临床病情进展不理想的患者百分比,D组略高于K组,但无统计学意义[20例(37.74%) vs. 12例(23.08%),P=0.157]。对于临床病情进展不理想的患者,考虑其布雷西亚-COVID呼吸严重程度量表(BCRSS)的值,以及治疗10天后胸部CT的变化,两组之间未发现统计学上的显著差异。两组抗病毒治疗后均未出现明显不良反应。在COVID-19患者中,与DRV/r相比,LPV/r抗病毒治疗有一些较好的结果。两种治疗的耐受性都很好。

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